TY - JOUR
T1 - Impact of diabetes mellitus on the presentation and outcomes of Fournier's gangrene
AU - Nisbet, Alan A.
AU - Thompson, Ian M.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2002/11/1
Y1 - 2002/11/1
N2 - Objectives. To evaluate, in a population of patients with very high risk of diabetes, the natural history of Fournier's gangrene (FG) and to characterize the differences in presentation and outcome. Methods. Patients with FG were identified during a 6-year period at two tertiary care institutions in San Antonio, Texas. The impact of diabetes on presentation and outcome were evaluated and compared with previous series. Results. We identified 26 patients with FG, of whom 20 (76.9%) had diabetes. Diabetes was the most common risk factor identified and was associated with a younger age. The average hospital stay was not affected by the diagnosis of diabetes. Of 26 patients treated for FG, 3 (11%) died, 1 of whom had diabetes. Although the extent of debridement required was greater among diabetics, the average number of debridements required was not increased (2.55 in diabetic and 2.4 in nondiabetic patients). Conclusions. Although diabetes is a risk factor for FG, the outcome is not affected by this diagnosis.
AB - Objectives. To evaluate, in a population of patients with very high risk of diabetes, the natural history of Fournier's gangrene (FG) and to characterize the differences in presentation and outcome. Methods. Patients with FG were identified during a 6-year period at two tertiary care institutions in San Antonio, Texas. The impact of diabetes on presentation and outcome were evaluated and compared with previous series. Results. We identified 26 patients with FG, of whom 20 (76.9%) had diabetes. Diabetes was the most common risk factor identified and was associated with a younger age. The average hospital stay was not affected by the diagnosis of diabetes. Of 26 patients treated for FG, 3 (11%) died, 1 of whom had diabetes. Although the extent of debridement required was greater among diabetics, the average number of debridements required was not increased (2.55 in diabetic and 2.4 in nondiabetic patients). Conclusions. Although diabetes is a risk factor for FG, the outcome is not affected by this diagnosis.
UR - http://www.scopus.com/inward/record.url?scp=0036845843&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036845843&partnerID=8YFLogxK
U2 - 10.1016/S0090-4295(02)01951-9
DO - 10.1016/S0090-4295(02)01951-9
M3 - Article
C2 - 12429294
AN - SCOPUS:0036845843
VL - 60
SP - 775
EP - 779
JO - Urology
JF - Urology
SN - 0090-4295
IS - 5
ER -